Individual provider · Type 1 NPI

Kevin Polk

Marriage & Family Therapist · Springfield, IL

NPI number 1376184820 Active

Practice location

350 Bourbon St
Springfield, IL 62707-2702

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1376184820

Kevin Polk's National Provider Identifier is 1376184820, issued on Oct 7, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Springfield, IL. The record was last updated on Oct 7, 2019.